By opting into SMS from a web form or other medium, you are agreeing to receive SMS messages from Caring Therapists. This includes SMS messages for account notifications and customer care. Message frequency varies. Message and data rates may apply. No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. See privacy policy at https://caringtherapists.com/privacy-policy. Message HELP for help. Reply STOP to any message to opt out.

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.